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CondoWarth Technologies, Inc.,, <br /> s F CUSTODY -� ❑ 21663 Brian Lane 1$8 Frank West Circle, Suite T ! <br /> 4y PO Box 3905 /Sonora,California 95370 Stockton, 6 <br /> ��` � � �� 209-532-0361 209-234 4 y�`I� <br /> 7l1 `: ,lk 209-532-0773 (fax) 209-234Iftwoc4tom <br /> ) 1 `V <br /> info@condorearthcom(e-mail) condor@co (e-mail) ` ` <br /> SHIPPED TO: SEND RESULTS TO <br /> WIS ll !� NAME -5'n <br /> sC <br /> r!_A 610-a22 ' ' r !! 4��1 <br /> T - �1� OFFICE �- <br /> ❑ PLEASE FAX RESULTS �p PECT G,_ <br /> PROJECT NO <br /> 2 OV i i ✓ Verification <br /> of <br /> SAMPLED BY <br /> �P <br /> (Signature) con- i�M �/ tain- Q' <br /> r. <br /> Date Time Sample ID ers 4sr REMARKS M1SC <br /> y b' f%g240 <br /> -31 - cif L �v y��2 <br /> 1)u 70 3 9- f1 - o Cq <br /> 11 � S o - J5 s1 ►� O� ��C�S�LI-2�{� <br /> ima <br /> o - - SLVM04 2-4 <br /> W 05w 2A b <br /> in <br /> Relinquished By Date Time Received By Date Time <br /> (Signature) LL14 ,QZSSP (Signature) <br /> Relinquished By Date Time Received By %Dai Time <br /> (Signature) (Signature) <br /> Relinquished By Date Time Received By n / Dat - Time r <br /> (Signature) (Signature) V� ` Q� �, <br /> i <br /> Original-Send Yellow-File Pink-Loe Book <br />